Key Elements of Cultural Competence
Key Elements of Cultural Competence ( 5 Questions)
A client from India is diagnosed with type 2 diabetes mellitus and is prescribed a low-carbohydrate diet. The nurse reviews the client's food preferences and notes that the client eats rice, chapati (flatbread), and dal (lentil soup) daily. Which response by the nurse is most appropriate?
"You need to stop eating rice, chapati, and dal, as they are high in carbohydrates and will raise your blood sugar levels." - This is not an appropriate response, as it may be perceived as insensitive or disrespectful to the client's culture and preferences. The nurse should not prohibit or restrict the client's cultural foods without considering their significance and alternatives.
"You can continue eating rice, chapati, and dal, as they are part of your culture and tradition, and you should not change them." - This is not an appropriate response, as it may be misleading or harmful to the client's health. The nurse should not endorse or encourage the client's cultural foods without assessing their nutritional value and impact on blood sugar levels.
The nurse provides an appropriate response by acknowledging the client's food preferences and offering guidance on how to adjust them to meet the dietary requirements for diabetes management. The nurse does not impose or eliminate the client's cultural foods, but rather suggests ways to incorporate them into a balanced and healthy diet.
"You can substitute rice, chapati, and dal with other foods that are similar in taste and texture, but lower in carbohydrates, such as quinoa, cauliflower rice, and zucchini noodles." - This is not an appropriate response, as it may be unrealistic or impractical for the client to adopt. The nurse should not suggest or recommend unfamiliar or inaccessible foods without consulting the client's availability and willingness to try them.
Rationale: The nurse provides an appropriate response by acknowledging the client's food preferences and offering guidance on how to adjust them to meet the dietary requirements for diabetes management. The nurse does not impose or eliminate the client's cultural foods, but rather suggests ways to incorporate them into a balanced and healthy diet.
Incorrect options:
A) "You need to stop eating rice, chapati, and dal, as they are high in carbohydrates and will raise your blood sugar levels." - This is not an appropriate response, as it may be perceived as insensitive or disrespectful to the client's culture and preferences. The nurse should not prohibit or restrict the client's cultural foods without considering their significance and alternatives.
B) "You can continue eating rice, chapati, and dal, as they are part of your culture and tradition, and you should not change them." - This is not an appropriate response, as it may be misleading or harmful to the client's health. The nurse should not endorse or encourage the client's cultural foods without assessing their nutritional value and impact on blood sugar levels.
D) "You can substitute rice, chapati, and dal with other foods that are similar in taste and texture, but lower in carbohydrates, such as quinoa, cauliflower rice, and zucchini noodles." - This is not an appropriate response, as it may be unrealistic or impractical for the client to adopt. The nurse should not suggest or recommend unfamiliar or inaccessible foods without consulting the client's availability and willingness to try them.